Games like Through The Pain
Games like Through The Pain include A Hat in Time, Stray, Only Climb: Better Together, ALTF4, and Slime Rancher. We matched them by the tags players give Through The Pain on Steam (Adventure, Arcade, Roguelike, Runner, and Exploration): closest matches first, and among equally close ones the better-known games.

A Hat in Time
Shared: Adventure · 3D Platformer · Cute

Stray
Shared: Adventure · Exploration · Cute

Only Climb: Better Together
Shared: Arcade · Precision Platformer · Roguelike

ALTF4
Shared: Runner · Arcade · 3D Platformer

Slime Rancher
Shared: Adventure · Exploration · Cute

A Short Hike
Shared: Adventure · Exploration · Cute

Sonic Frontiers
Shared: Adventure · 3D Platformer · Exploration

Kena: Bridge of Spirits
Shared: Adventure · Exploration · 3D Platformer

Toree 3D
Shared: 3D Platformer · Exploration · Cute

Smushi Come Home
Shared: Adventure · Exploration · Cute

Cairn
Shared: Adventure · Exploration · Stylized

Caravan SandWitch
Shared: Adventure · Exploration · 3D Platformer

Get To Work
Shared: Adventure · Precision Platformer · 3D Platformer

Haste
Shared: Runner · 3D Platformer · Adventure

Chained Together
Shared: Adventure · 3D Platformer · Exploration

Yooka-Replaylee
Shared: Exploration · Arcade · 3D Platformer

Grow Home
Shared: Adventure · Exploration · 3D Platformer

Kao the Kangaroo (2000 re-release)
Shared: Adventure · Arcade · Runner

Pseudoregalia
Shared: 3D Platformer · Exploration · Third Person

Toree 2
Shared: Adventure · 3D Platformer · Exploration

Tomb Raider Game of the Year
Shared: Adventure · Third Person · Exploration

Rise of the Tomb Raider™
Shared: Adventure · Exploration · Third Person

Journey To The Savage Planet
Shared: Adventure · Exploration · Arcade

My Little Puppy
Shared: Adventure · Exploration · Cute